Medical home treatment system

Abstract

Some examples of the disclosure are directed to the processing of medical claims data, electronic health records (EHR) data and other data to define disease / treatment pools and risk bands to assist in the treatment of diseases such as cancer. In some examples, in accordance with these defined disease / treatment pools and risk bands, participating practices (e.g., health care providers, clinics, cancer centers, etc.) can provide outpatient care in accordance with determined triage pathways that ensure patients receive the right care in the right place at the right time for symptoms related to their disease(s) and treatment, and determined clinical pathways that address, as applicable, appropriate imaging, pathologic testing and molecular diagnostics, delineating chemotherapy, radiation oncology, supportive care, and surgery. A centralized system may monitor electronic health records maintained by the participating practices to determine whether the participating practices are in compliance with determined clinical pathways.

Description

FIELD OF THE DISCLOSURE[0001]This relates generally to the treatment of diseases, and in some examples to the processing of patient claims data, electronic health records and other data to determine disease / treatment pools, risk bands, and compliance with clinical pathways to assist in the treatment of diseases such as cancer.BACKGROUND OF THE DISCLOSURE[0002]Cancer patients are often acutely ill, and may require complex and expensive treatments and suffer treatment side effects that need to be effectively managed. One model of care delivery is the concept of a patient-centered medical home (PCMH). Some of the goals of PCMHs are to achieve improved quality and higher patient satisfaction. Most medical home treatment models are based on the Chronic Care Model (CCM), for which there is plentiful research documenting the positive effects of the CCM on chronic disease outcomes. Recent studies have shown that medical homes can significantly reduce costly emergency department (ED) visits ...

AI Technical Summary

Benefits of technology

The patent is about a system that uses medical data to create treatment paths for diseases like cancer. The system monitors medical records and uses algorithms to determine the best treatment for each patient. This helps ensure that patients receive the right care in the right place at the right time. The system also offers additional services like patient education and medication management counseling. Overall, the system aims to provide high-quality care while minimizing the cost and complexity of treatment.

Problems solved by technology

Because treatment for diseases such as cancer can be highly complex and expensive, ensuring high quality of care, patient-centeredness and cost-effectiveness are often critical goals of a treatment system.

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